-
9
Broken white roll
-
10
Much or little tissue
-
11
Abnormal cupid’s bow
-
12
Clinical sign
Shorten or lengthen of upper lip height Shorten or extension of upper lip width Deformities of vermilion Deformities of nose Scar
-
26
How to avoid secondary nasolabial deformities
Good design of operation Skillful operation Good nursing
-
27
Cleft Palate
-
28
Maxillary process
Embryogenesis
Contents
Secondary Nasolabial deformities
Cleft Palate
-
1
Secondary Nasolabial Deformities
Nasolabial deformities after cheiloplasty
-
2
Why ?
Serious deformities Unbalance of facial growth Error in operation Shortcoming of operation design Infection and Split open
General ：hard cooperation complicated
Local ：good cooperation simple
-
19
Preparation of operation
Body：blood test、x-ray of chest Local：no rash and inflammation
-
20
Operation method
Suspending of nose ala “V－Y”plasty “Z”plasty
-
21
Suspending of nose ala
-
22
“V－Y” plasty
-
23
“Z” plasty
-
24
“V－Y” plasty
-
25
“Z” plasty
Shorten or lengthen of upper lip height Shorten or extension of upper lip width Deformities of vermilion Deformities of nose Scar
-
17
Scar
-
18
Anesthesia
-
3
Timing of Operation
Facial growth have finished 1.avoid to disturb facial growth 2.maintain stability of healing effect
-
4
Clinical sign
Shorten or lengthen of upper lip height Shorten or extension of upper lip width Deformities of vermilion Deformities of nose Scar
-
7
Shorten or extension of upper lip width
right cheilion left cheilion
-
8
Clinical sign
Shorten or lengthen of upper lip height Shorten or extension of upper lip width Deformities of vermilion Deformities of nose Scar
-
5
Shorten or lengthen of upper lip height
nose base lip peak
-
6
Clinical sign
Shorten or lengthen of upper lip height Shorten or extension of upper lip width Deformities of vermilion Deformities of nose Scar
-
13
Big nostril
Inclined nose columella
-
Collapsed nose ala
14
Small nostril
Inclined nose columella Collapsed nose ala
-
15
Short nose columella
-
16
Clinical sign
Frontonasal process
Maxillary process
Medial Medial nasal nasal process process
Secondary palatal process
Primary palatal process
Secondary palatal process
Palate-ຫໍສະໝຸດ 29Etiology
Hereditary factors
Environmental factors
-
30
Muscle
Palatopharyngeus muscle Palatoglossus muscle Levator veli palatini muscle Tensor veli palatini muscle Uvula muscle
-
31
Anatomy
-
32
Clinical Classification
Cleft of soft palate Incomplete cleft palate Unilateral complete cleft palate Bilateral complete cleft palate Other (Obsolete cleft palate, Congenital fistula…)